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To address approaches to the respirator approval process in the current landscape for both occupational and non-occupational use of respirators, the National Academies of Sciences, Engineering, and Medicine's Standing Committee on Personal Protective Equipment for Workplace Safety and Health convened a virtual workshop, Current Issues in the Assessment of Respiratory Protective Devices: Nontraditional Workers and Public Use on August 4â€"5, 2020. Additionally, the workshop considered gaps in respiratory protection for outdoor workers and the general public. This publication summarizes the presentation and discussion of the workshop.
To address approaches to the respirator approval process in the current landscape for both occupational and non-occupational use of respirators, the National Academies of Sciences, Engineering, and Medicine's Standing Committee on Personal Protective Equipment for Workplace Safety and Health convened a virtual workshop, Current Issues in the Assessment of Respiratory Protective Devices: Nontraditional Workers and Public Use on August 4â€"5, 2020. Additionally, the workshop considered gaps in respiratory protection for outdoor workers and the general public. This publication summarizes the presentation and discussion of the workshop.
Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care workers across the wide range of settings in which they work and the jobs that they perform. Keeping health care workers healthy is an ethical commitment both in terms of addressing the occupational risks faced by health care workers and of providing for the continuity of patient care and services needed to maintain the health of individuals and communities. During a public health emergency, challenges will arise concerning the availability of respiratory protective devices (i.e., respirators). Reusable respirators (specifically, reusable half-facepiece elastomeric respirators) are the standard respiratory protection device used in many industries, and they provide an option for use in health care that has to date not been fully explored. The durability and reusability of elastomeric respirators make them desirable for stockpiling for emergencies, where the need for large volumes of respirators can be anticipated. However, they are used infrequently in health care. Reusable Elastomeric Respirators in Health Care explores the potential for the use of elastomeric respirators in the U.S. health care system with a focus on the economic, policy, and implementation challenges and opportunities. This report examines the practicability of elastomeric use in health care on a routine basis and during an influenza pandemic or other large aerosol-transmissible outbreak, when demand for respiratory protective devices by U.S. health care personnel may be larger than domestic supplies. The report also addresses the issues regarding emergency stockpile management of elastomeric respiratory protective devices.
Designing Advanced Respiratory Protective Devices for Pandemics: Performance, Mechanism and Future Perspectives identifies emerging and critical issues that directly or indirectly influence the protective performance of Respiratory Protective Devices (RPDs), along with important future research directions. The severity of the COVID-19 pandemic emphasizes the vital role of respiratory protection provided by PPE (and RPD) in novel infectious respiratory disease control. A wealth of recent research on coronavirus mitigation measures is combined with prior information on infectious diseases, RPDs, and human physiological and psychological responses to make this a fundamental resource on recent advances, innovative perspectives on respiratory protection, and new applications. The effectiveness of such disease control measures rely greatly on the performance of the RPD, user compliance, and proper use. Only an interdisciplinary approach to this issue can lead to success. - Combines introductory material on the nature of infectious disease and mechanisms of respiratory protection with cutting-edge research - Examines the different material properties that lead to successful RPDs, including breathability, comfort, and recyclability - Explains different methods for RPD test, evaluation, and approval from regulatory agencies worldwide
Before effective treatments were introduced in the 1950s, tuberculosis was a leading cause of death and disability in the United States. Health care workers were at particular risk. Although the occupational risk of tuberculosis has been declining in recent years, this new book from the Institute of Medicine concludes that vigilance in tuberculosis control is still needed in workplaces and communities. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measuresâ€"such as those recommended by the Centers for Disease Control and Preventionâ€"intended to prevent transmission of tuberculosis in health care and other workplaces. It discusses whether proposed regulations from the Occupational Safety and Health Administration would likely increase or sustain compliance with effective control measures and would allow adequate flexibility to adapt measures to the degree of risk facing workers.
This fourth edition provides guidance on why respiratory protective equipment (RPE) should be used, what the law says and how to select RPE that is adequate and suitable. It also includes a useful dos and don'ts list for the management and supervision of RPE use.The guidance is aimed principally at employers and the self-employed who wear, or are responsible for workers who wear, RPE. It will also be useful for health and safety specialists, manufacturers and suppliers of RPE.It has been prepared in consultation with industry and updates the 2005 edition
The workplace is where 156 million working adults in the United States spend many waking hours, and it has a profound influence on health and well-being. Although some occupations and work-related activities are more hazardous than others and face higher rates of injuries, illness, disease, and fatalities, workers in all occupations face some form of work-related safety and health concerns. Understanding those risks to prevent injury, illness, or even fatal incidents is an important function of society. Occupational safety and health (OSH) surveillance provides the data and analyses needed to understand the relationships between work and injuries and illnesses in order to improve worker safety and health and prevent work-related injuries and illnesses. Information about the circumstances in which workers are injured or made ill on the job and how these patterns change over time is essential to develop effective prevention programs and target future research. The nation needs a robust OSH surveillance system to provide this critical information for informing policy development, guiding educational and regulatory activities, developing safer technologies, and enabling research and prevention strategies that serves and protects all workers. A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century provides a comprehensive assessment of the state of OSH surveillance. This report is intended to be useful to federal and state agencies that have an interest in occupational safety and health, but may also be of interest broadly to employers, labor unions and other worker advocacy organizations, the workers' compensation insurance industry, as well as state epidemiologists, academic researchers, and the broader public health community. The recommendations address the strengths and weaknesses of the envisioned system relative to the status quo and both short- and long-term actions and strategies needed to bring about a progressive evolution of the current system.
NIOSH and the Occupational Safety and Health Administration (OSHA) share responsibility for overseeing respiratory protection in the workplace and have established regulations for this purpose. Specifically, NIOSH has issued regulations which define respirator testing and certification. OSHA has issued regulations which define conditions under which employers are required to maintain respiratory protection programs in general industry, shipyards, marine terminals, and construction. In 2005, NIOSH contracted with the Institute of Medicine (IOM) to study the NIOSH-sponsored Anthrotech study along with its supporting information and reports, and to examine and report on the adequacy and relevance of the study protocol, the analyses conducted, the resulting anthropometric dataset, and the appropriateness of the respirator fit-test panels derived from the new dataset. Assessment of the NIOSH Head-and-Face Anthropometric Survey of U.S. Respirator Users focuses on the establishment of the scientific base required for certification standards of respirators, not their use in the workplace. This report describes and analyzes the anthropometric measurements performed by Anthrotech for its NIOSH-sponsored study. This report looks at the survey methods used by Anthrotech in the study, and examines how Anthrotech analyzed its data to derive fit-test panels and suggests some ways that analysis could be improved. This report discusses future directions, pointing toward further analyses of the data and offers suggestions for moving from research to practice.
In keeping with a congressional mandate (Public Law 104-484) and the Chemical Weapons Convention, the United States is currently destroying its chemical weapons stockpile. The Army must ensure that the chemical demilitarization workforce is protected from the risks of exposure to hazardous chemicals during disposal operations and during and after facility closure. Good industrial practices developed in the chemical and nuclear energy industries and other operations that involve the processing of hazardous materials include workplace monitoring of hazardous species and a systematic occupational health program for monitoring workers' activities and health. In this report, the National Research Council Committee on Review and Evaluation of the Army Chemical Stockpile Disposal Program examines the methods and systems used at JACADS and TOCDF, the two operational facilities, to monitor the concentrations of airborne and condensed-phase chemical agents, agent breakdown products, and other substances of concern. The committee also reviews the occupational health programs at these sites, including their industrial hygiene and occupational medicine components. Finally, it evaluates the nature, quality, and utility of records of workplace chemical monitoring and occupational health programs.